Individual provider Active NPI

Stephanie Dadario Lahaise I, PA

  • Physician Assistant
  • Cranston, RI
National Provider Identifier
1740210509
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00327 Issued in RI
Practice address
750 Reservoir Ave
Cranston, RI 02910-4423
Phone
(401) 943-0761
Fax
(401) 943-5737
NPI assigned
Jul 4, 2006
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1799 MA
Physician Assistant 363A00000X PA00327 RI Primary

Addresses

Primary practice location

750 Reservoir Ave
Cranston, RI 02910-4423

Mailing address

1287 N Main St
Providence, RI 02904-1856
Phone (401) 272-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081215000097 RI Practitioner - Physician Assistant 5395630479 Reassigns benefits to 1 organization
I20170615001549 MA Practitioner - Physician Assistant 5395630479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Skinpros, LLCGroup PAC ID 8921260951, 8 clinicians

Practice addresses (Care Compare)

1287 N Main St
Providence, RI 02904-1856
Phone (401) 272-2724

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC CurrentSince Oct 1, 2022 Accepting new patients
Dermatology Care Specialists Inc Past Accepting new patients

Locations

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

1675 Grand Army Hwy
Swansea, MA 02777
Phone (401) 272-2724

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1740210509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041856",
            "telephone_number": "401-272-2724",
            "fax_number": "401-272-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-943-0761",
            "fax_number": "401-943-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADARIO LAHAISE",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA1799",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.